KEISHA A. FOX – Family Nurse Practitioner, NPI 1033765490
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for KEISHA A. FOX
1466 W Oak St
Zionsville, IN 460771800
Phone: (317) 873-6438
Type: Location
558 Atkins Blvd
Marianna, AR 723602113
Phone: (870) 295-5225
Fax: (870) 295-4070
Type: Location
PO BOX 251420
LITTLE ROCK, AR 722251420
Phone: (501) 686-8000
Type: Mailing
2450 Jerry Lee Dr
Conway, AR 720328803
Phone: (501) 428-0036
Type: Location
530 Atkins Blvd
Marianna, AR 723602198
Phone: (870) 295-5225
Fax: (870) 295-4070
Type: Location
1 Cvs Dr
Woonsocket, RI 028956146
Phone: (401) 652-9787
Type: Location
Lee County Cooperative Clinic, 530, Atkins Boulevard, Marianna, Lee County, Arkansas, 72360, United States
MARIANNA, AR 723602198
Phone: (870) 295-5225
Fax: (870) 295-4070
Type: Mailing
350 SALEM RD STE 1
CONWAY, AR 720346166
Phone: (479) 518-4977
Fax: (479) 203-3030
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $113.
Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($52).
Total Amount
$113
General + Research + Ownership
Payments
4
Total payment records
General Amount
$113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $52 |
| Corium, LLC | $39 |
| McKesson Medical-Surgical, Inc. | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200904001410 | I | Nurse Practitioner | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46077)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | AR | |
| Clinical Social Worker | AR | |
| Clinical Social Worker | AR | |
| - | AR | |
| - | AR | |
| Mental Health Counselor | AR | |
| Mental Health Counselor | AR | |
| P S Y C H I A T R Y | AR | |
| - | AR | |
| Nurse Practitioner | AR |
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